How much rates vary
Facilitymedian $447 · 10th to 90th $155 to $1,023Professionalmedian $219 · 10th to 90th $166 to $1,820
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $208.93 Median $416.87 Typical High $549.54 | Facility | None | $208.93 | $416.87 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $416.87 | Professional | None (both parts) | $181.97 | $181.97 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $117.49 | Professional | 26 · Professional part | $51.29 | $51.29 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $295.12 | Professional | TC · Technical part | $131.83 | $131.83 | $295.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $204.17 | $204.17 | $204.17 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $91.20 Typical High $109.65 | Professional | 26 · Professional part | $64.57 | $91.20 | $109.65 |
BCBS Setting Facility Modifier None Typical Low $165.96 Median $707.95 Typical High $1,071.52 | Facility | None | $165.96 | $707.95 | $1,071.52 |
BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $199.53 Typical High $302.00 | Professional | None (both parts) | $190.55 | $199.53 | $302.00 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $60.26 Typical High $89.13 | Professional | 26 · Professional part | $57.54 | $60.26 | $89.13 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $141.25 Typical High $208.93 | Professional | TC · Technical part | $134.90 | $141.25 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $398.11 Typical High $588.84 | Facility | None | $79.43 | $398.11 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $194.98 Typical High $426.58 | Professional | None (both parts) | $109.65 | $194.98 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $79.43 Typical High $120.23 | Professional | 26 · Professional part | $38.02 | $79.43 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $112.20 Typical High $295.12 | Professional | TC · Technical part | $66.07 | $112.20 | $295.12 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $263.03 Typical High $575.44 | Facility | None | $181.97 | $263.03 | $575.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $169.82 Median $1,819.70 Typical High $1,819.70 | Professional | None (both parts) | $169.82 | $1,819.70 | $1,819.70 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $218.78 Typical High $512.86 | Professional | 26 · Professional part | $48.98 | $218.78 | $512.86 |
Medica Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $1,318.26 Typical High $1,318.26 | Professional | TC · Technical part | $117.49 | $1,318.26 | $1,318.26 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $181.97 Typical High $363.08 | Professional | None (both parts) | $128.82 | $181.97 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $52.48 Typical High $107.15 | Professional | 26 · Professional part | $46.77 | $52.48 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $125.89 Typical High $263.03 | Professional | TC · Technical part | $93.33 | $125.89 | $263.03 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $91.20 Typical High $114.82 | Professional | 52 · Reduced service | $91.20 | $91.20 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $45.71 | Professional | 53 · Discontinued | $36.31 | $36.31 | $45.71 |
Where Arizona sits
The same service costs 4.2 times more in Alaska than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Arizona· 27th of 51
$282
AK $575AL $138
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.